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荷兰不同社会关系中非正式护理的决定因素。

Determinants of informal care-giving in various social relationships in the Netherlands.

机构信息

The Netherlands Institute for Social Research, The Hague, The Netherlands.

Faculty of Social Sciences, VU Amsterdam, Amsterdam, The Netherlands.

出版信息

Health Soc Care Community. 2021 Nov;29(6):1779-1788. doi: 10.1111/hsc.13286. Epub 2021 Jan 21.

Abstract

This study investigates determinants for offering help to family members, neighbours and friends, based on the Informal Care Model. We do so in pooled representative data for the Netherlands collected in 2014 and 2016 (persons >17 years, n = 13,165). One-third provides informal care to a person with health problems or impairments: partners (4%, n = 671), parents or children (16%, n = 2,381), distant relatives (6%, n = 858), friends or neighbours (6%, n = 839). Marginal effects show differences in the associations of care-giving relationships with sociodemographic factors, barriers and beliefs. Helping a partner is related to age, gender (older people and men are more likely to help) and household composition (singles help less often). Care for close family is given often by 45-64 year olds, women, multiperson households and those with strong family beliefs. Helping second-degree relatives correlates with age (young people help more often), barriers (those living with children help less often) and beliefs (people with professional background in care and people who attend church or mosque helping more often). Providing non-kin care is associated with age and education level (young people less likely to help, people with a high education more likely), barriers (having a fulltime job) and beliefs (work experience in care, church or mosque attendance and norms). The supply of care to partners and close family is mainly associated with sociodemographic factors and barriers while the provision of care to distant family and non-kin is also correlated with beliefs. If desirable policy is to create more informal care, investment in the combination of work and informal care, childcare and supportive arrangements for older community living couples is recommended. It also might be worthwhile to enhance beliefs about the usefulness of helping each other in times of need.

摘要

本研究基于非正式护理模型,探讨了向家庭成员、邻居和朋友提供帮助的决定因素。我们使用了 2014 年和 2016 年在荷兰收集的具有代表性的 pooled 数据(年龄>17 岁的人群,n=13165)进行研究。有三分之一的人会向有健康问题或身体残疾的人提供非正式护理:伴侣(4%,n=671)、父母或子女(16%,n=2381)、远亲(6%,n=858)、朋友或邻居(6%,n=839)。边际效应显示,照顾关系与社会人口因素、障碍和信念之间的关联存在差异。帮助伴侣与年龄、性别(老年人和男性更有可能提供帮助)和家庭构成(单身者帮助较少)有关。照顾近亲通常由 45-64 岁的人、女性、多人家庭和有强烈家庭观念的人提供。帮助二等亲属与年龄有关(年轻人更常提供帮助)、障碍(与子女同住的人帮助较少)和信念(有护理专业背景和参加教堂或清真寺的人更常提供帮助)。提供非亲属护理与年龄和教育水平有关(年轻人不太可能提供帮助,教育程度较高的人更有可能提供帮助)、障碍(全职工作)和信念(护理、教堂或清真寺出勤和规范方面的工作经验)。向伴侣和近亲提供护理的供应主要与社会人口因素和障碍有关,而向远亲提供护理的供应也与信念有关。如果需要制定更理想的政策来增加非正式护理,那么建议投资于工作和非正式护理、儿童保育以及为老年社区生活夫妇提供支持性安排的结合。增强关于在需要时互相帮助的有用性的信念也可能是值得的。

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